# THE CENTER WORKSHOP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Canaan Place
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619850799
- **Authorized official:** MS. LUDY FERTILE (CLINICAL DIRECTOR)
- **Authorized official phone:** (954) 770-8138

## Contact information

- **Practice address:** 4050 EDGEWOOD PL, COCONUT CREEK, FL 33066-1837
- **Practice address phone:** (954) 770-8138
- **Mailing address:** 4050 EDGEWOOD PL, COCONUT CREEK, FL 33066-1837
- **Mailing address phone:** (954) 770-8138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/28/2025
- **Last updated:** 07/28/2025
